ArticleHealth care management review
From spreading to embedding innovation in health care: Implications for theory and practice.
Article in Health care management review. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- AI Adoption in US Cancer Centers: National Cross-Sectional Study of Institutional and Policy Determinants.Journal of medical Internet research · 2026Article
- Development and Delivery of a Plastic and Reconstructive Surgery Case-Based Learning Curriculum for Pre-Clerkship Medical Students.Plastic surgery (Oakville, Ont.) · 2026Article
- Strategic Planning for a Digital Health Innovation Hub at a Saudi Academic Medical Center: Qualitative Case Study.JMIR formative research · 2026Article
- Exploring innovation landscapes: a national cross-sectional study of Swedish primary care from the viewpoint of primary care managers.BMC health services research · 2026Article
- Implementing a primary-tertiary shared care model for enhancing cascade testing for familial hypercholesterolaemia: an effectiveness-implementation hybrid type III pre-post study.Implementation science communications · 2026Article
- Embedding Music in Care at Mayo Clinic.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Lifestyle front offices in dutch hospitals: a cross-sectional survey on similarities, differences and future needs.BMC health services research · 2026Article
- Using a peer-led network to overcome the barriers to innovation in the NHS: the case of the NHS InSites Programme.BMJ innovations · 2026Article
- Scaling up an integrated primary mental health screening programme in South Africa through co-development and continuous quality improvement.BMC primary care · 2026Article
- Feasibility of the Maastricht Innovation Readiness Approach: a self-assessment of innovation readiness in long-term care organizations for older adults.Frontiers in health services · 2026Article
- Strategies for spreading, scaling and sustaining perinatal mental health interventions in low- and middle-income countries (LMICs): A scoping review and thematic synthesis.Global mental health (Cambridge, England) · 2026Review
- From bedside to bytes: the digital transformation of the healthcare workforce.Frontiers in digital health · 2026Review
- Re-conceptualizing implementation outcomes of health innovations as modes or attributes: an integrated framework.Frontiers in health services · 2025Review
- A decade of change towards Value-Based Health Care at a Dutch University Hospital: a complexity-informed process study.Health research policy and systems · 2024Article
- Activating Mechanisms Through Employee-Driven Innovation Comment on "Employee-Driven Innovation in Health Organizations: Insights From a Scoping Review".International journal of health policy and management · 2024Article
- Life After the HSIF: Lessons From Diffusion of Innovation for Sustaining the Impact of Embeddedness Comment on "Early Career Outcomes of Embedded Research Fellows: An Analysis of the Health System Impact Fellowship Program".International journal of health policy and management · 2024Article
- Article
- Identifying core strategies and mechanisms for spreading a national medicines optimisation programme across England-a mixed-method study applying qualitative thematic analysis and Qualitative Comparative Analysis.Implementation science communications · 2022Article
- Editorial: Digital health adoption: Looking beyond the role of technology.Frontiers in digital health · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
issueIn broad terms, current thinking and literature on the spread of innovations in health care presents it as the study of two unconnected processes-diffusion across adopting organizations and implementation within adopting organizations. Evidence from the health care environment and beyond, however, shows the significance and systemic nature of postadoption challenges in sustainably implementing innovations at scale. There is often only partial diffusion of innovative practices, initial adoption that is followed by abandonment, incomplete or tokenistic implementation, and localized innovation modifications that do not provide feedback to inform global innovation designs. CRITICAL THEORETICAL ANALYSIS: Such important barriers to realizing the benefits of innovation question the validity of treating diffusion and implementation as unconnected spheres of activity. We argue that theorizing the spread of innovations should be refocused toward what we call embedding innovation-the question of how innovations are successfully implemented at scale. This involves making the experience of implementation a central concern for the system-level spread of innovations rather than a localized concern of adopting organizations. INSIGHT/ADVANCE: To contribute to this shift in theoretical focus, we outline three mechanisms that connect the experience of implementing innovations locally to their diffusion globally within a health care system: learning, adapting, and institutionalizing. These mechanisms support the distribution of the embedding work for innovation across time and space. PRACTICAL IMPLICATIONS: Applying this focus enables us to identify the self-limiting tensions within existing top-down and bottom-up approaches to spreading innovation. Furthermore, we outline new approaches to spreading innovation, which better exploit these embedding mechanisms.
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